| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $330.24 | $900.00 | $1,831.00 | |
BCBS
| Facility | $290.14 | $290.14 | $290.14 | |
Cigna
| Facility | $282.47 | $282.47 | $631.74 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 |
Exc Mucosa Vestibule Mouth As Don Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $330.24 | $900.00 | $1,831.00 | |
BCBS
| Facility | $290.14 | $290.14 | $290.14 | |
Cigna
| Facility | $282.47 | $282.47 | $631.74 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 |